The nurse counsels a client with idiopathic thrombocytopenic purpura (ITP) that if medication therapy is not effective, the surgical procedure most likely to be used in the treatment is
a. bone marrow transplant.
b. exploratory laparotomy.
c. hepatic shunt.
d. splenectomy.
D
If the client does not have a sustained remission, splenectomy may be needed. In 60% to 80% of cases, removal of the spleen results in complete and permanent remission.
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A patient has a plasma calcium level of 10.5 mg/dL due to excessive intake of vitamin D–enriched foods. In response, the nurse should expect to see which of the following?
A) Decreased parathyroid hormone B) Vitamin C deficiency C) Increased serum phosphate D) Increased serum calcitonin
Lactose is found in:
1. sucrose. 2. malt products. 3. milk. 4. honey.
Parents are concerned that their 6-year-old son continues to occasionally wet the bed. What does the nurse explain?
a. This is likely because of increased stress at home. b. Enuresis usually ceases between 6 and 8 years of age. c. Drug therapy will be prescribed to treat the enuresis. d. Testing will be necessary to determine what type of kidney problem exists.
A nurse is treating a 72-year-old woman who may be a victim of elder abuse. When asking the patient if someone has hurt her, the nurse knows that many times elder abuse is not reported because of what?
A) Some patients are ashamed to admit being hurt by someone B) Some patients do not remember being hurt C) Some patients do not think that health care providers can help them D) Some patients do not think that they are being abused